SHANNON MICHELLE DEVANGE IDPR Registered License verification

Business Entity

ACTIVE

License Type

IDPR Registered

Description

GENETIC COUNSELOR

License Number

246000753

License Status

ACTIVE

Business

First Name

SHANNON

Middle

MICHELLE

Last Name

DEVANGE

Business Name

SHANNON MICHELLE DEVANGE

Original Issue Date

06/27/2022

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

SHORELINE

State

Zip

98177

Ever Disciplined

LastModifiedDate

12/20/2024